DR. SIMON P MBOUDOU M.D.
NPI 1912931965
Anesthesiology in Edinburg, TX
About Dr. Simon P Mboudou M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SIMON P MBOUDOU M.D. (NPI 1912931965) is an individual anesthesiology provider in Edinburg, Texas, licensed in Texas (K6648) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mission Regional Medical Center, and is a graduate of University Of Texas Medical School At Houston (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Simon P Mboudou M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Simon Mboudou reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mcallen, TX 78503
- Reassigned Medicare billing, Texas enrollment
- 300 clinicians in this Medicare group
Fort Worth, TX 76109
- Reassigned Medicare billing, Texas enrollment
- 1,612 clinicians in this Medicare group
Grapevine, TX 76051
- Reassigned Medicare billing, Texas enrollment
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mission Regional Medical Center
Acute Care Hospitals · Mission, TXMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDINBURG, TX 78539
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Simon Mboudou's NPI number?
The NPI number for Simon Mboudou is 1912931965. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Simon Mboudou located?
Simon Mboudou practices at 3513 W Alberta Rd, Edinburg, TX 78539. The listed phone number is (956) 664-9771.
What is Simon Mboudou's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Simon Mboudou enrolled in Medicare?
Yes. Simon Mboudou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Simon Mboudou's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simon Mboudou reassigns Medicare benefits to 3 organizations: Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia LLC (Mcallen, TX), Emergenchealth PLLC (Fort Worth, TX) and Clinical Associates, Inc (Grapevine, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Simon Mboudou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Simon Mboudou accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Molina Healthcare list Simon Mboudou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Simon Mboudou affiliated with any hospitals?
According to CMS data, Simon Mboudou is affiliated with Mission Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Simon Mboudou was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Simon P Mboudou, M.D. · NPI 1912931965
Anesthesiology physician in Edinburg, Texas. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1912931965 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** K6648 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3513 W ALBERTA RD, Edinburg, TX 78539-8466
- **Phone:** (956) 664-9771 · **Fax:** (956) 664-9773
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia LLC (NPI 1346570355, Mcallen, TX); Emergenchealth PLLC (NPI 1467970897, Fort Worth, TX); Clinical Associates, Inc (NPI 1518265966, Grapevine, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At Houston, class of 1999
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 8D1884 (TX); Medicare UPIN H00120 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1912931965) · Data from the CMS NPPES public registry.